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Bleeding from peristomal varices: a complication of portal hypertension
Faraan Khan1, Sheida Vessal, Richard Gordon-Williams
1Department of General Medicine, Barnet Hospital, London, UK. Faraan@doctors.org.uk
Abstract:
Peristomal varices are a recognised complication of stomas in the presence of portal hypertension. There has been a progression of treatment options described in the literature, including the transjugular intrahepatic portosystemic shunt (TIPS). The use of TIPS, a percutaneous procedure allowing connection between the portal and systemic circulations within the liver, is a well-recognised method of treating the complications of portal hypertension. This report presents a case of peristomal varices successfully treated with TIPS and subsequently reviews the literature relating to its management.
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